Ivry, Michael Yehuda

Ivry, Michael Yehuda is an sole proprietor health care provider with primary practice located at 44 S Central Ave Ste 2 , Valley Stream NY 11580. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ivry, Michael Yehuda can be contacted via phone (516) 561-7788.

Contact Information

Primary practice address
44 S Central Ave Ste 2 Valley Stream NY 11580
Phone: (516) 561-7788
Fax: (516) 596-7455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0479621 New York

Profile Details

NPI number 1154509503
LBN Legal business name Ivry, Michael Yehuda
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2008
Last updated May 30th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154509503 NPPES
New York MEDICAID 1154509503

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